Individual
NICOLE KENDALL SMITH-PEREZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CASAC
Contact information
Practice address
37 W 26TH ST, 6TH FLOOR, NEW YORK, NY 10010-1006
(212) 696-1550
(212) 696-1602
Mailing address
37 W 26TH ST, 6TH FLOOR, NEW YORK, NY 10010-1006
(212) 696-1550
(212) 696-1602
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
27086
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02850677
—
NY
Enumeration date
03/21/2012
Last updated
03/21/2012
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